| NPI | 1477206126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNALEE J PERRY Co Owner 641-895-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |