| NPI | 1760545057 |
|---|---|
| Other Name | CAMELOT SQUARE |
| Entity Type | Organization |
| Authorized Contact | AMANDA BREWER Executive Director 712-263-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |