| NPI | 1578690152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CARL CONRAD Executive Director 402-435-3165 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2016-12-19 |