| NPI | 1619534120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN SHRADER Executive Director 402-345-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |