| NPI | 1063950749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA M JACKSON-SANDERS Director 402-321-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-03 |