| NPI | 1659423572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI SOLE Director Of Billing 402-896-5827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-11-04 |