| NPI | 1164245627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SEWELL Rcm 402-250-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |