| NPI | 1417200155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMEDINA ISLAMOVIC Resident Counselor 515-643-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |