| NPI | 1083208367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIM KNOBBE Owner 712-830-5672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-03-30 |