| NPI | 1548320245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY JACKSON Senior Partner 402-690-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 7989) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-06-18 |