| NPI | 1063578508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI LEWIS-AHRENDT Chief Operating Officer 402-475-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NE Not Required) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: NE SATC099) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-07-05 |