| NPI | 1740402015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY WILSON-HINTZ Executive Director 402-455-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-12-04 |