| NPI | 1497929780 |
|---|---|
| Doing Business As | LINCOLN RIDGE |
| Entity Type | Organization |
| Authorized Contact | ROD HOTEK CEO 641-472-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA CMHC) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |