NPI | 1417046798 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY LYNN MCSTOCKARD Director Of Billing 641-472-1684 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |