| NPI | 1740643386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE KELLER Owner 402-416-2076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1048) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2024-02-20 |