NPI | 1003887639 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY JOHNSON CEO 515-386-3017 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
251S00000X Community/Behavioral Health | |
3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
311ZA0620X Custodial Care Facility Adult Care Home | |
320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2006-01-31 |
Last Update Date | 2010-05-05 |