| NPI | 1972767101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WATSON Executive Director 402-721-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P658) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |