| NPI | 1366933624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE B DELONG President 402-413-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NE 576) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: NE 576) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NE 576) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-09-04 |