| NPI | 1841354834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOHN YOUNGBLUT Executive Director 712-336-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 0121111) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: IA 0121111) |
| 251S00000X (Licence: IA 0121111) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |