| NPI | 1922441864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS OWENE BONEBRIGHT Owner/Director 402-742-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 71) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |