NPI | 1477078210 |
---|---|
Entity Type | Organization |
Authorized Contact | TOMEKA C JOHNSON Credentialing/Billing Spec. 402-885-7672 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1301) |
Enumeration Date | 2017-08-12 |
Last Update Date | 2024-10-02 |