| NPI | 1073189908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KAY GOODRICH Substance Abuse Counselor 402-237-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |