| NPI | 1063550697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERENE LESLIE BISHOP Psychotherapist 402-486-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 579) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2008-10-08 |