NPI | 1972657906 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD C. LUDWIG Chief Executive Officer 712-852-2211 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |