| NPI | 1437841517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE CASEY VERNON Mental Health Therapist 712-221-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |