NPI | 1629597117 |
---|---|
Entity Type | Organization |
Authorized Contact | GAYLA DANETTE CHAMBERS CEO 402-451-5549 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 0000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 00000) |
Enumeration Date | 2017-09-15 |
Last Update Date | 2017-09-15 |