| NPI | 1063696417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERA KRISTINE FREDERICK Owner 402-488-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1728) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2019-02-22 |