| NPI | 1649603283 |
|---|---|
| Other Name | ADOLESCENT CENTER |
| Entity Type | Organization |
| Authorized Contact | KERMIT DAHLEN CEO/President 712-234-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IA 1237) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |