| NPI | 1992538607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLINA THOMPSON Co Owner 402-671-4037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |