NPI 1578852968

Bryan Lgh West Independence Center

Organisation Substance Abuse Rehabilitation Facility Lincoln, NE

Practice location

Address: 1650 Lake St, Lincoln, NE 68502-3734
Phone: (402) 481-5268
Fax: (402) 481-5495

Authorised official

Name: Eric N Mooss
Title: President/Ceo
Phone: (402) 481-1111

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 832 (NE)

Other Substance Abuse Rehabilitation Facility providers in Nebraska →

Registry record

NPI: 1578852968
Entity type: Organization
NPI issued: 6 Apr 2011
Record last updated: 17 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.