Healthcare Provider Details

I. General information

NPI: 1912787219
Provider Name (Legal Business Name): SABR BEHAVIORAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2023
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 N 8TH ST
LINCOLN NE
68508-1314
US

IV. Provider business mailing address

5130 LARKSPUR LN
LINCOLN NE
68521-5621
US

V. Phone/Fax

Practice location:
  • Phone: 531-333-2782
  • Fax:
Mailing address:
  • Phone: 531-333-2782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ALI AL-BADRY
Title or Position: PARTNER
Credential:
Phone: 531-333-2782