| NPI | 1093258980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A JACKSON Mental Health Practitioner 402-990-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1652) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-12-06 |