| NPI | 1164035325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE CLARK CEO 319-431-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251S00000X | |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-09-14 |