| NPI | 1821712274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MICHELLE LEMASTER CEO 402-306-8207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2024-06-17 |