| NPI | 1992256291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GANSEMER President/CEO 563-583-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |