| NPI | 1902409972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY L RUTER Owner/President 641-355-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2022-12-14 |