| NPI | 1548088461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JACKSON Owner 402-904-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-08-29 |