| NPI | 1184914756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL TEGELER Executive Director 402-477-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE 164W00000X) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |