| NPI | 1871023416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK COUGHLIN Executive Director 515-326-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IA 1403) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-11-14 |