| NPI | 1932253374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MESCHER CEO 563-556-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 310131) |
| Additional Taxonomies | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-06-06 |