| NPI | 1417846619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLET GOODWIN Resident Supervisor/Counselor 402-651-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |