| NPI | 1114502234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J WHEELER Licensed Mental Health Practitioner 402-833-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |