| NPI | 1326282104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY LYNN NYKODYM Substance Abuse Specialist 402-660-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |