NPI | 1700175221 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA POLK-PRIMM Chief Executive Officer 402-346-0902 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE 862) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2011-04-05 |