NPI | 1548404445 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM SCORZA Branch Director 712-737-4831 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NE 35396374) |
Enumeration Date | 2009-04-23 |
Last Update Date | 2009-04-23 |