| NPI | 1205911765 |
|---|---|
| Doing Business As | IMHI-PMIC |
| Entity Type | Organization |
| Authorized Contact | BHASKER DAVE Superintendant 319-334-2583 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IA 10PM35) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-09-04 |