| NPI | 1316460231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKA C JOHNSON Credentialing/Billing Mang. 402-885-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1363) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2018-11-07 |