| NPI | 1851037220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JONES Broad President / Hr Manager 641-861-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-11 |