| NPI | 1023190766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE J. HAMAR Business Manager 308-762-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE SATC001) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE SATC055) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |