NPI 1326445511
St. Gregory Retreat Centers, LLC
Practice location
- Address
- 5875 Fleur Dr, Des Moines, IA 50321-2883
- Phone
- (515) 421-4066
- Fax
- (515) 864-0285
Authorised official
- Name
- Timothy F Carson
- Title
- Cfo
- Phone
- (515) 298-7209
Registered specialties (2)
Psychiatry Physician
Primary
Clinical Psychologist
Registry record
- NPI
- 1326445511
- Entity type
- Organization
- NPI issued
- 3 Dec 2014
- Record last updated
- 3 Feb 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.