| NPI | 1124630074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY D WASHINGTON Director 402-706-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |