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Organization

CORNHUSKER PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHIL TEGELER (EXECUTIVE DIRECTOR)
(402) 477-3951
Entity
Organization

Contact information

Practice address
721 K ST, LINCOLN, NE 68508-2949
(402) 477-3951
Mailing address
721 K ST, LINCOLN, NE 68508-2949

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
164W00000X
NE

Other

Enumeration date
04/15/2011
Last updated
04/15/2011
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