| Organization Name: | OUR SUPPORTED HOMES |
| NPI Number: | 1841575073 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TARA MARY LORENSON (CO-OWNER) |
| Mailing Address: | 20066 S 190th St Adams |
| State: | NE US |
| Postal Code: | 683013023 |
| Phone Number: | 4023288833 |
| Fax Number: | 4023282921 |
| NPI Enumeration Date: | 10/19/2011 |
| NPI Last Update Date: | 05/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 911 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |