NPI | 1427221647 |
---|---|
Entity Type | Organization |
Authorized Contact | BEN TRANE Director 319-524-3560 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: IA pending) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-04-09 |