Whalio Doctors

NPI 1326445511

St. Gregory Retreat Centers, LLC

Organisation Psychiatry Physician Des Moines, IA

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
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X

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.