NPI | 1003599028 |
---|---|
Entity Type | Organization |
Authorized Contact | MELINDA DENNIS CEO 515-642-4125 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-08 |