| NPI | 1669784104 |
|---|---|
| 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 Community/Behavioral Health |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |