| NPI | 1497149066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA BELL Owner 515-333-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 770488) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |