| NPI | 1689757957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH BERUBE Director 712-328-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 7430) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-10-02 |