| NPI | 1164969275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKA C JOHNSON Credentialing/Billing Spec. 402-885-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10682) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |