| NPI | 1114107711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DIANE NELSEN Partner 402-965-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 633) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1546) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1461) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 1695) | |
| 103T00000X Psychologist (Licence: NE 283) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |