| NPI | 1922865864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY LEA JOHNSON Administrator 515-895-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-22 |