| NPI | 1699041251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M COOK CEO 402-991-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 612) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |