| NPI | 1194962829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FRANCESCA SCHALLER Senior Director Of Bh & Rcm 712-355-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2024-12-30 |