| NPI | 1679850390 |
|---|---|
| Other Name | YOUTH INTENSIVE OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | TOPHER HANSEN Executive Director 402-475-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |