Organization
MIDWEST BRAIN TRAINING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CJ POOLE PLMHP (OWNER)
(402) 478-8758
Entity
Organization
Contact information
Practice address
11711 ARBOR ST STE 240D, OMAHA, NE 68144-2979
(402) 478-8758
Mailing address
2431 CRYSTAL CREEK DR, PAPILLION, NE 68046-4665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/04/2021
Last updated
03/31/2022
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