| NPI | 1962673624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NEWHOUSE Interim Executive Director 712-279-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: IA ADS033) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |