| NPI | 1255692307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALORIE JEAN ROSE Owner 402-616-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3922) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 934) |
| 101YP2500X Counselor, Professional (Licence: NE 1944) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |