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 |