| NPI | 1780356113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CJ POOLE Owner 402-478-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2022-03-31 |