| NPI | 1922133610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CARL CONRAD Executive Director 402-435-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE LIC SATC020) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |