| NPI | 1992033567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONIELLE LARSON Executive Director 402-371-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE SATC036) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0801X | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2024-09-12 |