| NPI | 1588394951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISA ESTELLA GRAYSON Vice President 402-880-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |