NPI | 1689550360 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW MUGEMANGANGO CEO 319-538-2866 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-08-15 |
Last Update Date | 2025-08-31 |