| NPI | 1386449445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEAL FORGHAB KEDZE Nurse 515-422-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-08-09 |