NPI | 1902634181 |
---|---|
Doing Business As | BONSAI HEALTH |
Entity Type | Organization |
Authorized Contact | NICHOLAS MILEWSKI Manager 402-769-8988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-07-22 |
Last Update Date | 2024-10-02 |