| NPI | 1174723118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ELIZABETH DAVIDSON Executive Director 515-573-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IA 1304) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2011-12-21 |