| NPI | 1619184686 |
|---|---|
| Other Name | CAP SUPPORTED COMMUNITY LIVING |
| Entity Type | Organization |
| Authorized Contact | VINCENT J MANDRACCHIA Chief Medical Officer 515-282-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |