| NPI | 1407640360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL MORENO IZAGUIRRE Owner 402-309-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-08-01 |