| 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 |