| NPI | 1881958916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN KAIPUST Licsw 402-990-7362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 661) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3573) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |