Individual provider · Type 1 NPI

Tracey Davidson

Substance Abuse Rehabilitation Facility · Lincoln, NE

NPI number 1457809733 Active

Practice location

721 K St
Lincoln, NE 68508-2949

Call (402) 477-3951 Map

Fax (402) 477-3922

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X60758 (NE)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1457809733

Tracey Davidson's National Provider Identifier is 1457809733, issued on Sep 15, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lincoln, NE. The record was last updated on Sep 15, 2016.