| NPI | 1407462625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUANN MOWREY Executive Director/President 712-792-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |