| NPI | 1184163487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVA DEON RIGGLEMAN Owner 402-578-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9695) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |