NPI | 1396963930 |
---|---|
Doing Business As | LIFE QUEST AT THE COOLIDGE CENTER |
Entity Type | Organization |
Authorized Contact | NANCY LOUISE STEPHENS President 402-845-2745 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NE MHC043) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2008-08-13 |