NPI | 1245220938 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE SALTSGAVER CFO 515-246-3501 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IA 77PM01) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2020-08-22 |