Organization
BRYAN LGH WEST INDEPENDENCE CENTER
Active
Organization
BRYAN LGH WEST INDEPENDENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC N MOOSS (PRESIDENT/CEO)
(402) 481-1111
Entity
Organization
Contact information
Practice address
1650 LAKE ST, LINCOLN, NE 68502-3734
(402) 481-5268
(402) 481-5495
Mailing address
1650 LAKE ST, LINCOLN, NE 68502-3734
(402) 481-5268
(402) 481-5495
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
832
NE
Other
Enumeration date
04/06/2011
Last updated
04/17/2024
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