| NPI | 1811882509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAEJEAN SUE ROSEDALE Owner 641-854-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |