| NPI | 1053114157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALYN PARKER Chief Operating Officer/Co Founder 712-249-7086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |