| NPI | 1295271302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA M GARTIN Mental Health Therapist 402-216-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 4746) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2285) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-1345) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |