| NPI | 1114619749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEONNA ARMSTRONG VP Of Revenue Cycle Management 402-813-9867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2024-02-13 |