NPI | 1972650158 |
---|---|
Doing Business As | FAMILY SUPPORT & OUTREACH SERVICES |
Entity Type | Organization |
Authorized Contact | RANDI R CLOYED Treatment Service Director 712-525-1395 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2007-01-03 |
Last Update Date | 2008-08-28 |