| NPI | 1124875174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE MARTINEZ Co Owner 402-469-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |