| NPI | 1467268227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E MARIE WOODRUFF Owner/Director 641-208-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |