| NPI | 1811607716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA JEAN MATNEY Lcsw/Owner 712-840-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |