| NPI | 1659004711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESSA DYKSTRA Pediatric Nurse Practitioner 712-441-2748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |