| NPI | 1790933620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS Business Office Administrator 712-525-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |