| NPI | 1821155284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PETERSON Director 515-643-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-07-30 |