| NPI | 1396179602 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | THEODORE JAMES DELAET President 402-333-8210  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 236)  | 
| Enumeration Date | 2013-08-23 | 
| Last Update Date | 2018-08-17 |