| NPI | 1972667731 |
|---|---|
| Former Legal Business Name | MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WHITE CFO 641-648-4631 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IA 420156H) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-12-03 |