| NPI | 1861100695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA JOY GATTON Lead Staff Accountant 712-792-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |