| NPI | 1508392382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYBIL NANETTE JACKSON Therapist 402-779-9438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4946) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |