| NPI | 1578691333 |
|---|---|
| Doing Business As | SUMMIT LIFE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | NANETTE MARIE GINGERY President/Director/Administrator 402-435-2273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 208494938) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 208494938) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2009-10-01 |