| NPI | 1366773095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK ALLEN BRUNSWIG NEWRING Owner 402-557-6027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 567) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1045) |
| 103TC0700X Psychologist, Clinical (Licence: NE 506) | |
| 103TC0700X Psychologist, Clinical (Licence: NE 149) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |