| NPI | 1235711672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FRANCESCA SCHALLER Director Of Rcm 712-355-8480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2025-05-21 |