| 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 |