OrganizationActive
Bryan Lgh West Independence Center
NPI 1578852968 · Substance Abuse Rehabilitation Facility · Lincoln, NE
Provider details
- NPI number
- 1578852968
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Eric Mooss, President/Ceo(402) 481-1111
- License
- 832 (NE)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1650 Lake St
Lincoln, NE 68502-3734
Phone: (402) 481-5268
Fax: (402) 481-5495
Approximate (ZIP-level) locationGet directions
Mailing address
1650 Lake St
Lincoln, NE 68502-3734
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.