| NPI | 1104170596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA A STOKES President Clinical Psychologist 712-574-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 01004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IA 12R099) | |
| 103TC0700X Psychologist, Clinical (Licence: IA 00475) | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2023-09-25 |