| NPI | 1063559706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WRIGHT Executive Director 563-659-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 230519) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: IA 230519) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |