| NPI | 1043000524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA D SANDERS Owner 308-763-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |