| NPI | 1104263920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S WILSON Case Management Administrator 712-262-9438 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: IA 0082966) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |