| NPI | 1427504216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE LYNN TOMOSON CEO 712-255-0204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-09-12 |