| NPI | 1790867984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY L GOODMAN Chief Operating Officer 402-489-9792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-10-28 |