| NPI | 1578192696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA GASPER Clincial Social Worker 402-910-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2022-07-22 |