| NPI | 1962033035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON MCHONE Executive Director 515-574-8380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |