NPI | 1093967564 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA SUE STEFANSKI Marriage And Family Therapist 402-310-9526 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NE 805) |
Enumeration Date | 2008-10-16 |
Last Update Date | 2011-12-02 |