| NPI | 1689455289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN R WATERS CEO, Program Director 515-724-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-04-05 |