| NPI | 1114087574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY ODEN Executive Director 641-437-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-26 |