NPI | 1235996315 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMED SALAH CEO 515-707-9155 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation 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 |