| NPI | 1043632920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY COLLINS WARREN President 402-707-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1317) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-773) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |