| NPI | 1548634017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WATSON CHIPAKO Director 402-990-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2015-11-21 |