| NPI | 1316609720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BERTRAND Executive Director 712-277-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2024-02-29 |