| NPI | 1154693596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE M MISSEL Clinical Social Worker 402-719-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 891) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |