| NPI | 1598893406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GORMAN Executive Director 319-338-9212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-24 |