| NPI | 1699565002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY EILEEN HALL Owner 402-902-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-08-01 |