| NPI | 1881432649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E. THACKER Owner/Executive Director 515-571-7953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |