| NPI | 1669052080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANENYE PROMISE ALOZIEM Provider 402-968-4786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |