| NPI | 1003110503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE JO DURANT Director Of Operations 402-871-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 696) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 818) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1305) | |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |