| NPI | 1417420316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONIELLE LARSON Executive Director 402-379-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |