| NPI | 1750559332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY WUNDERLICH Executive Asst. 402-552-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 10025597400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10025597400) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2019-12-10 |