| NPI | 1114624095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSIE KAH CHICK NTUMYUY CEO 515-240-4629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-16 |