| NPI | 1275012239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI P KAY Owner/Provider 712-646-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 251K00000X Public Health or Welfare | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2023-03-23 |