| NPI | 1952449860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL HASSAN Medical Director 515-471-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 00948) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |