| NPI | 1104951193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BUTLER CEO 712-243-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |