NPI | 1255504718 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE WILSON Therapist 402-871-5979 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 960) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3878) |
101YP2500X Counselor, Professional (Licence: NE 1921) | |
Enumeration Date | 2008-04-04 |
Last Update Date | 2012-02-03 |