| NPI | 1346094745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED P MANDEIN President 515-553-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |