| NPI | 1306923743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN ROMAINE DAVIS Executive Director 319-887-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IA R-457) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |