NPI | 1306909692 |
---|---|
Entity Type | Organization |
Authorized Contact | DONIELLE LARSON Executive Director 402-371-0220 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE SATC068) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2024-09-12 |