| NPI | 1750511143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F. CARSON CFO 515-298-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IA 1332) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2014-01-28 |