| 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 |