| NPI | 1013304187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE ANN ESCOBAR Counselor 402-540-2354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9260) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |