| NPI | 1568615128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DANIEL SULLIVAN President 402-750-7923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1464) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-10-13 |