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 |