| NPI | 1205015096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A KANTER Chief Operating Officer 402-202-5890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |