| NPI | 1689742439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT O HOFFMAN SVP Of Finance 402-896-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2024-01-18 |