| NPI | 1104951029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER MAXINE ALLEN-PORTSCHE Outpatient Therapist 402-464-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE H12307800) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |