| NPI | 1871903898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY WUNDERLICH Executive Assistant 402-552-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2019-12-10 |