| NPI | 1265919476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS META STENNIS Owner 402-905-6296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11415) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1537) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |