| NPI | 1184455131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP J LEWIS Manager 402-598-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 174400000X Specialist | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |