| NPI | 1184413080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE OWENS CEO 402-613-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |