| NPI | 1730946401 |
|---|---|
| Former Legal Business Name | MALCOM BEHAVIOR HEALTH SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | SARAH GIERHAN Owner 308-233-3847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |