| NPI | 1891593752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA HART Business Office Supervisor 402-370-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |