| NPI | 1548086440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JLYNN DARAE HARTZELL CEO 402-320-3057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2026-10-01 |