| NPI | 1295165074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE JONES Licensed Psychologist 515-710-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: FL L13000153148) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |