| NPI | 1396120846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JOSTEN Executive Director 563-245-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: IA 220379) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |