| NPI | 1861043796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RUTH SEGOVIANO Owner 402-301-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |