# HOLISTIC PSYCHIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316778855
- **Authorized official:** JAYSON GESULGA (PRESIDENT)
- **Authorized official phone:** (515) 518-0460

## Contact information

- **Practice address:** 2327 70TH ST, URBANDALE, IA 50322-4825
- **Practice address phone:** (515) 518-0460
- **Practice address fax:** (515) 777-1950
- **Mailing address:** 2327 70TH ST, URBANDALE, IA 50322-4825
- **Mailing address phone:** (515) 518-0460
- **Mailing address fax:** (515) 777-1950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 09/26/2024