| NPI | 1083402077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WATSON CHIPAKO Director 402-990-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |