| NPI | 1942066543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL STEVEN ALMEIDA Owner 402-515-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-03-13 |