NPI | 1841354834 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL JOHN YOUNGBLUT Executive Director 712-336-4052 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 0121111) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 0121111) |
251C00000X Day Training, Developmentally Disabled Services (Licence: IA 0121111) | |
Enumeration Date | 2006-12-21 |
Last Update Date | 2025-09-11 |