| NPI | 1902119118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE EBEL Hr Generalist 515-246-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IA 236) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |