| NPI | 1114176880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M SMITH Licensed Independent Mental Health 308-237-6865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-07-09 |