| NPI | 1184055568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY P HASKINS Owner 402-727-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1369) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 855) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3724) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |