| NPI | 1730741133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A JOHNSON President 402-858-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-10-24 |