| NPI | 1114606712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRI ELIZABETH GARCIA Owner 308-629-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |