| NPI | 1487030128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY J WIGGS Owner 402-659-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NE 54) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |