NPI | 1841327673 |
---|---|
Former Legal Business Name | CROSSROADS OF WESTERN IOWA |
Entity Type | Organization |
Authorized Contact | DARIAN MATTHEW ZIMA CFO 712-256-7888 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2021-12-15 |