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