NPI | 1508319666 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN DAWN MAYBERRY Therapist 712-527-1064 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 10764) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2016-07-25 |