| NPI | 1073913083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE HALLEY Director 402-932-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-10-16 |