| NPI | 1821710773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADEENA K FOSTER Director 402-312-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2024-04-15 |