| NPI | 1912560830 |
|---|---|
| Other Name | MIKKI MCBRIDE |
| Entity Type | Organization |
| Authorized Contact | KADRA OMEROVIC Credentialing Dept 402-421-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |