| NPI | 1649784679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MCDOUGALL President 402-610-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1673) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1645) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-12-12 |