| NPI | 1255631446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C BROWN Medical Director 712-293-4700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AK 513478) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |