Assisted Growth Services of Nebraska

NPI #1548634017 in Omaha, Nebraska

Provider Information

NPI Number: 1548634017
Entity Type: Organization
Organization Name: Assisted Growth Services of Nebraska
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 21, 2015
Last Updated: Nov 21, 2015

Practice Location

Address: 10909 COTTONWOOD LN
City: Omaha
State: Nebraska
ZIP Code: 68164-3715
Phone: (402) 990-9874

Authorized Official

Name: WATSON CHIPAKO
Title: DIRECTOR
Phone: (402) 990-9874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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