NPI | 1164181590 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY LAWSON Administrator 308-345-1530 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2021-12-13 |
Last Update Date | 2021-12-13 |