| NPI | 1053743039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY SUZANNE MAYFIELD Therapist 402-932-2296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 956) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 887) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |