| NPI | 1841090081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MONNIE SEGBEE Owner 319-610-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |