| NPI | 1104973239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GALL Owner 402-612-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |