| NPI | 1982096608 |
|---|---|
| Other Name | IOWA ECR RIST |
| Entity Type | Organization |
| Authorized Contact | DYANN M ROTH CEO 215-951-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |