| NPI | 1083336952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SATHER Administrator 712-749-2548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |