| NPI | 1770127904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MIALI Biller 402-504-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2020-08-27 |