Organization
CORNHUSKER PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS DAVID FRUGE PLADC P-787 (SUBSTANCE ABUSE COUNSELOR)
(402) 477-3951
Entity
Organization
Contact information
Practice address
721 K ST, LINCOLN, NE 68508-2949
(402) 477-3951
Mailing address
910 GROVELAND ST, LINCOLN, NE 68521-2653
(253) 507-0642
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
P-787
NE
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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