| NPI | 1215402151 |
|---|---|
| Doing Business As | SAMUEL CROUCH |
| Entity Type | Organization |
| Authorized Contact | SAMUEL CROUCH Owner 308-225-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-01-08 |