NPI | 1730652371 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTA MARIE LINDHOLM CEO 515-327-7036 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
Enumeration Date | 2019-01-07 |
Last Update Date | 2024-01-15 |