| NPI | 1174895106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA LOUISE MALONE Owner 402-310-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3126) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |