| NPI | 1710046255 |
|---|---|
| Former Legal Business Name | FOUR OAKS INC |
| Entity Type | Organization |
| Authorized Contact | SAM THOMPSON Program Manager Behavior Health 319-364-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |