| NPI | 1700408465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA RAE LINDAHL Quality Improvement COO Rdinator 402-379-3622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |