NPI | 1144577230 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY LOUISE SIMBARCELOS Owner/Director 402-525-7509 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 1799) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 405) |
Enumeration Date | 2012-08-08 |
Last Update Date | 2012-08-08 |