| NPI | 1487913786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT CARSON Operations Director 402-451-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2014-07-16 |