| NPI | 1801481551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MICHAEL ANTONS Director 402-239-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |