| NPI | 1154931590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ECKERMAN Owner 402-708-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |