| NPI | 1104973148 |
|---|---|
| Former Legal Business Name | JERRY RABINER MEMORIAL BOYS' RANCH |
| Entity Type | Organization |
| Authorized Contact | DAUN RAE KEEFE Director Of Clinical Services 515-573-1396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-02-25 |