NPI | 1790675411 |
---|---|
Entity Type | Organization |
Authorized Contact | MUKIZA GLOIRE SHAMARAGWE CEO 515-771-6546 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-07-04 |
Last Update Date | 2025-07-04 |