| NPI | 1235996315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED SALAH CEO 515-707-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |