NPI | 1114425592 |
---|---|
Entity Type | Organization |
Authorized Contact | KATE CROSS Owner 402-650-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2018-01-31 |
Last Update Date | 2018-01-31 |