| NPI | 1265103220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN RALYNN BALL Program Director, Counselor 515-724-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2022-08-30 |