| NPI | 1891585279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON GBAFUWEL BEOHTWEH CEO 402-580-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |