| NPI | 1851508956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHARLES EVANS President 402-330-1537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 265, 412) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 380) |
| 103TC0700X Psychologist, Clinical (Licence: NE 77) | |
| 104100000X Social Worker (Licence: NE 44) | |
| 104100000X Social Worker (Licence: NE 269) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-04-20 |