# MIDWEST BRAIN TRAINING INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780356113
- **Authorized official:** CJ POOLE PLMHP (OWNER)
- **Authorized official phone:** (402) 478-8758

## Contact information

- **Practice address:** 11711 ARBOR ST STE 240D, OMAHA, NE 68144-2979
- **Practice address phone:** (402) 478-8758
- **Mailing address:** 2431 CRYSTAL CREEK DR, PAPILLION, NE 68046-4665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/04/2021
- **Last updated:** 03/31/2022