| NPI | 1235271305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE RENKEN Outpatient Business Manager 712-293-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |