| NPI | 1457130338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BOBIER Credentialing 402-341-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-06-24 |