| NPI | 1508911595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J NATHAN Office Manager 402-891-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 2341 1849 2692) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 500) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2341 1849 567 565) | |
| 101YP1600X Counselor, Pastoral (Licence: NE Master Divinity) | |
| 103T00000X Psychologist (Licence: NE 567 565) | |
| 103TC0700X Psychologist, Clinical (Licence: NE 567 565) | |
| 103TC1900X Psychologist, Counseling (Licence: NE 567 565) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |