| NPI | 1134264807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE CALLAHAN SLADE Executive Director 319-232-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-09-27 |