| NPI | 1003901778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL MICULINICH Executive Director 563-382-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-12-20 |