| NPI | 1750194205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINOU BAWI AMADOU Executive Director 402-210-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |