| NPI | 1245758093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JEAN MCNICHOLS Counselor/Owner 402-440-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 10548) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NE P-1318) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |