| NPI | 1174640379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN VANDEHAAR Executive Director 712-262-7805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 210021) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |