| NPI | 1164838470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND VICTOR BURKE President 402-676-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4130) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |