| NPI | 1972811198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH EMILY KAY Clinical Director 641-780-1087 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 1339) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |