| NPI | 1497005805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L SULLIVAN President 402-432-0679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2019-01-08 |