| NPI | 1508492745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM P WEISS Director Of Quality Management 402-339-1436 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2021-08-05 |