NPI | 1497276893 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA LEIGH HAMILTON Owner 402-639-0435 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE 610) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NE 2503) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NE 2503) | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: NE 610) | |
Enumeration Date | 2017-07-06 |
Last Update Date | 2018-03-17 |