| NPI | 1851526586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLA R HARKEN Director 515-956-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 0895425) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 0895433) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 0895441) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |