| NPI | 1902543168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARR Director 402-878-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |