| NPI | 1003347378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH SHUNKWILER Dual Diagnosis Therapist 308-385-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1588) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-1093) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |