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 |