| NPI | 1619036787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB JUNGLING Business Affairs Director 319-232-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |