| NPI | 1417322728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN NICOLE BODE Occupational Therapy Assistant 712-330-2732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IA 000999) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |