| NPI | 1043759848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SOLOMON Director Of Finance 402-742-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 36358851) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: CO 36358851) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |