| NPI | 1841389277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ROSS Director Of Finance 402-829-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NE MHC059) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE SATC084) |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X (Licence: NE SATL084) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE SATL084) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NE MHL059) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-05-06 |