| NPI | 1457737793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HECHT Owner, Clinical Director 712-252-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 072360) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA 14090) |
| 101YM0800X Counselor Mental Health (Licence: IA 072360) | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2018-04-17 |