Individual provider · Type 1 NPI

Krisi Douglas

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Norfolk, NE

NPI number 1124916184 Active

Practice location

3206 Raasch Dr Ste 300
Norfolk, NE 68701-3175

Call (402) 379-3888 Map

Mailing address

102 W 10th St
Petersburg, NE 68652-5635

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

110 other providers at this address

About NPI 1124916184

Krisi Douglas's National Provider Identifier is 1124916184, issued on Jun 26, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Norfolk, NE. The record was last updated on Jun 26, 2025.