| NPI | 1124476742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL POLICH Chief Executive Office 515-280-4930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |