NPI | 1831991868 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GOODLETT Owner/CEO 515-943-1471 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2025-03-27 |
Last Update Date | 2025-03-27 |