| NPI | 1285011239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER DAWN JURGENSMEIER Clinical Social Worker 402-340-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 946) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1317) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |