| NPI | 1508930322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD SEIFERT CEO 563-652-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IA 4703516) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |