NPI | 1720331739 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE A FLYNN Consumer Relations Director 712-256-0013 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 489DLC-443116) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2012-10-16 |