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 |