| NPI | 1598783490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOSEPH MULLER President 712-234-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 03099) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 00404) |
| 1041C0700X Social Worker, Clinical (Licence: IA 01415) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 012141) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 06193) | |
| 106H00000X Marriage & Family Therapist (Licence: IA 00003) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 16732) | |
| 363A00000X Physician Assistant (Licence: IA 600 001320) | |
| 363AM0700X Physician Assistant, Medical (Licence: IA 600 001320) | |
| 363L00000X Nurse Practitioner (Licence: IA 053998) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA Z-053998) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA 38473) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-07-21 |