| NPI | 1447006515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANNE CLAUSSEN Provider/Owner 402-340-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |