| NPI | 1376426593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN C NKOUME EYENE Owner 402-830-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-07-26 |