| NPI | 1790320604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D. BARRERA CEO 402-469-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2024-02-22 |