| NPI | 1851415947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD D. STEHL Executive Director 515-276-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |