| NPI | 1952452138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE J OWENS Executive Director 515-462-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: IA 0472878) |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-09-15 |