| NPI | 1073817128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MARTIN HUTT Owner 308-632-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9244) |
| 103T00000X Psychologist (Licence: NE 393) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |