| NPI | 1336484831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J VASQUEZ CEO 515-421-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IA 1332) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |