| NPI | 1366740268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BLUME Administrator 319-524-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2023-09-15 |