NPI | 1154526713 |
---|---|
Doing Business As | PARK PLACE RCF PMI |
Entity Type | Organization |
Authorized Contact | CHARLES A SMITH Administrator 712-243-1213 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IA RPMI 655) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2020-08-22 |