| NPI | 1801555362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY M NIEMANN Accounting Support Specialist 402-750-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |