NPI | 1659746360 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY ANN ALEXANDER CEO 641-919-8003 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2015-12-07 |
Last Update Date | 2015-12-07 |