| NPI | 1013736933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FENWICK-REYNOLDS Owner/Therapist 402-728-8199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |