NPI | 1346389327 |
---|---|
Entity Type | Organization |
Authorized Contact | JOLENE R STALKER Program Manager 308-398-5427 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE 37) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE 2862LMHP) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |