| NPI | 1528310133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI MOORMAN Administrative Assistant 402-362-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NE 9746) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |