| NPI | 1215069174 |
|---|---|
| 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 (Licence: IA 190405) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |