| NPI | 1174927198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN KINDLEY Office Manager 402-916-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 692) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-09-23 |