| NPI | 1083905988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MICELE SORENSEN Owner 402-720-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3547) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 794) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2023-12-27 |