| NPI | 1306370762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK LOUIS BAILEY Clinical Director 402-504-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |