| NPI | 1568023182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MAE ALLEN Excutive Director 515-423-1049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-06-14 |