| NPI | 1508914730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL JAMES GIRAMONTI Owner 712-490-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00196) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |