| NPI | 1255852315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKA JOHNSON Credentialing Spec. 402-885-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 4967) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |