Organization
THE RADICAL ADVOCATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALAY BOUAPHAKEO (OWNER)
(515) 988-3620
Entity
Organization
Contact information
Practice address
2708 GRAND AVE, DES MOINES, IA 50312-5218
(515) 988-3620
Mailing address
2708 GRAND AVE, DES MOINES, IA 50312-5218
(515) 988-3620
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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