| 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 |