| NPI | 1942552013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DAVID FRUGE Substance Abuse Counselor 402-477-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE P-787) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |