NPI | 1962478172 |
---|---|
Doing Business As | KRYSILIS, INC.-ASHWOOD |
Entity Type | Organization |
Authorized Contact | BRENT V ABERG Executive Director 641-585-5450 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 950507) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2020-08-22 |