| NPI | 1083818868 |
|---|---|
| Former Legal Business Name | LISA M. BASILE MA |
| Entity Type | Organization |
| Authorized Contact | LISA M. BASILE Mental Health Therapist 402-651-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2576) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2017-02-03 |