| NPI | 1164650750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO BARRANCO Owner 308-324-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 454) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |