| NPI | 1871381962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS WANJALA Administrator 515-779-0523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-05-26 |