| NPI | 1164131504 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | CASSY JO LENSING Owner 641-330-7671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |