| NPI | 1508938960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DUREGGER Administrator 641-923-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-07-21 |