| NPI | 1952675787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOSEPH HILLENBRAND President 515-277-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 06724) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |