| NPI | 1538170709 |
|---|---|
| Doing Business As | THE AFFILIATES |
| Entity Type | Organization |
| Authorized Contact | GINA MARIE HENRICKSON Business Manager 402-826-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 601) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1002) |
| 101Y00000X Counselor (Licence: NE 7522) | |
| 101Y00000X Counselor (Licence: NE 7525) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P507) | |
| 103TC0700X Psychologist, Clinical (Licence: NE 367) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |