| NPI | 1053588582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA ROBERTS Psych Pd 402-552-7459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-12-09 |