| NPI | 1992818249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M EASTWOOD Executive Director 641-424-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-01-23 |