| NPI | 1659586584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GILLETTE Superintendent 712-225-1685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IA 121H) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-10-11 |