| NPI | 1124399464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE MINDT LONG Sole Proprietor 308-382-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 320,787, and 511) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |