| NPI | 1558875062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY FITZPATRICK President/CEO 712-660-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |