| NPI | 1801316393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA E. KUHN Organizer/Operating Manager 641-425-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G049183) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2021-09-08 |