| 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 |