| NPI | 1679372817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVE KRONBERG Quality Assurance Coordinator 402-562-6492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |