| NPI | 1487723649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA SUE MCKAY Billing Coordinator 402-457-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NE MHC016) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |