| NPI | 1235776147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MARIE GOODWIN-DALY Owner/Operator 402-813-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |