| NPI | 1225427412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MEXCUR Owner 402-463-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE P10454) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P1237) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |