| NPI | 1265148613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA VILLA Substance Couselor 402-213-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |