| 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 |