| NPI | 1659759124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON J BERUBE Director 402-689-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 075530) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2025-10-02 |