| NPI | 1285859884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLENE RAE KELLER Owner 308-345-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1561) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 554) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |