| 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 Clinic |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-10-02 |