| NPI | 1306919881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED W RAY Director/Operations COO Rdinator 402-434-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NE SATC221) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NE SATC221) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NE SATC221) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NE SATC221) | |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: NE SATC221) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE SATC221) | |
| 101YM0800X Counselor Mental Health (Licence: NE SATC221) | |
| 103TC0700X Psychologist Clinical (Licence: NE SATC221) | |
| 207QA0401X Family Medicine Addiction Medicine (Licence: NE SATC221) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-08-04 |