| NPI | 1013672310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH SHELTON President, Mental Health Provider 402-560-6609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |