IndividualActive
Tracey Davidson
NPI 1457809733 · Substance Abuse Rehabilitation Facility · Lincoln, NE
Provider details
- NPI number
- 1457809733
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 60758 (NE)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
721 K St
Lincoln, NE 68508-2949
Phone: (402) 477-3951
Fax: (402) 477-3922
Approximate (ZIP-level) locationGet directions
Mailing address
721 K St
Lincoln, NE 68508-2949
Registry dates
- Enumerated
- 2016-09-15
- Last updated
- 2016-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.