| NPI | 1659796431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JOSEPH PAUSLEY Executive Director 712-338-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 001422) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |