| 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, Mental Retardation and/or Developmental Disabilities (Licence: IA 489DLC-443116) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |