| NPI | 1003818808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARROLL L. BARNES Director 308-382-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE SATC005) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |