NPI | 1861615403 |
---|---|
Doing Business As | ADOLESCENT RESIDENTIALTREATMENT FOR COMMUNITY |
Entity Type | Organization |
Authorized Contact | TODD BEVERIDGE Director 515-247-3265 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |