| NPI | 1942081047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WORKMAN Owner 402-807-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-31 |