| NPI | 1639615198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM R BARR Executive Director 402-371-5310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NE 252) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |