| NPI | 1033181086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE COOLEY Executive Director 712-243-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2022-12-20 |