| NPI | 1982272993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI SCOTT Pladc 402-577-8725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-11-04 |