| NPI | 1376670034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA N WINSLOW Executive Director 319-293-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IA 890403) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 0895839) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-16 |