| NPI | 1346362977 |
|---|---|
| Doing Business As | SUBSTANCE ABUSE REHAB RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | TODD BEVERIDGE Director 515-247-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |