| NPI | 1588212179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHIDI ADEDOKOUN CEO 402-557-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |