| NPI | 1194999094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE KNIGGE Staff Nurse 712-366-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |