| NPI | 1679397863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORTNEY WEBB Mental Health Therapist 712-269-4297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2025-05-02 |