| NPI | 1629126776 |
|---|---|
| Doing Business As | PARK PLACE RCF PMI |
| Entity Type | Organization |
| Authorized Contact | CHARLES A SMITH Administrator 712-243-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IA RPMI 655) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |