| NPI | 1972708261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN RECKER Insurance Coordinator 563-583-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |