| NPI | 1336685981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME ELIZABETH COWAN Member 402-890-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9792) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1084) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |