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 |