| NPI | 1679338511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOSE PATRICK Member 515-421-6509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251S00000X Community/Behavioral Health | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-04-01 |