| NPI | 1700635497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONGFELLOW MARQUEZ Executive Director 402-250-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-06-06 |