NPI | 1427273036 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN WILSON VP Accounting 402-896-3884 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |