| NPI | 1861788143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM WEISS Director Of Quality Management 402-339-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2021-02-12 |