| NPI | 1205393071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI GILLMORE Chief Financial Officer 319-364-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |