NPI | 1194857078 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN WRIGHT Executive Director 563-659-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-08-22 |