| NPI | 1093242893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE M STOKES Clinical Social Worker 712-441-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 03668) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |