| NPI | 1093118218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BRIAN FLOREZ Outpatient Therapist 308-370-1667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1145) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10016) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |