| NPI | 1225169170 |
|---|---|
| Other Name | WAIVER DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. BRIDE Chief Financial Officer 712-277-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: IA 0162727) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |