NPI | 1780882571 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN JAMES MCKENZIE Owner 402-502-1024 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE LMHP2211) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NE LCSW995) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2020-08-22 |