| NPI | 1356517858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLAINE LYNN EDWARDS Manager 402-562-7099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1541) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |