| NPI | 1801920525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON CHRISTENSEN Director Of Programs 319-237-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-04-12 |