Provider First Line Business Practice Location Address:
2929 WESTOWN PARKWAY STE 110
Provider Second Line Business Practice Location Address:
DES MOINES PASTORAL COUNSELING CENTER
Provider Business Practice Location Address City Name:
WEST DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50266
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-274-4006
Provider Business Practice Location Address Fax Number:
515-255-5697
Provider Enumeration Date:
07/12/2006