| NPI | 1053694802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY PALMER Exectutive Director 641-782-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: IA 1317) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2025-07-29 |