| NPI | 1568326601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M. GLASSER Pmhnp/Owner 712-530-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2026-05-18 |