NPI | 1134265291 |
---|---|
Doing Business As | CHILDREN'S SQUARE U.S.A. |
Entity Type | Organization |
Authorized Contact | MARK J DUMAN Chief Financial Officer 712-322-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 101YP2500X Counselor, Professional |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2022-01-27 |