| NPI | 1740797562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL BOWERS Owner 402-404-6973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 1653) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1667) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |