| NPI | 1992353411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B PEARSON Treasurer 712-322-0272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |