NPI | 1679166581 |
---|---|
Entity Type | Organization |
Authorized Contact | YVONNE A MILLWOOD Executive Financial Administrator 308-629-8355 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-02-11 |
Last Update Date | 2021-02-11 |