NPI | 1013044643 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN WRIGHT Executive Director 563-659-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IA 530041) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-08-22 |