NPI | 1992832356 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD M MEYER Administrator 319-385-2046 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility |
Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: IA 440765) |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2009-11-20 |