| NPI | 1598930117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI MICHIE OUCHI Substance Abuse Counselor 402-438-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NE P-672) |
| Additional Taxonomies | 251S00000X (Licence: NE 8484) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |