| NPI | 1063933091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY M MEYER Clinical Therapist 308-293-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1776) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 872) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |