| NPI | 1952555864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DENISE STANCIL DOWDEN Psychotherapist/Substance Abuse/Pas 402-991-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 121) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 75258) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 739) | |
| 101YM0800X Counselor Mental Health (Licence: NE 3034) | |
| 101YP2500X Counselor Professional (Licence: NE 1569) | |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |