| NPI | 1982895942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERRI L BRUNOW Ar Manager 712-256-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2008-04-20 |