| NPI | 1316262918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIAH EICKHOFF Co Owner 308-532-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 3623) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 816) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-884) | |
| 101YM0800X Counselor Mental Health (Licence: NE 728) | |
| 101YP2500X Counselor Professional (Licence: NE 1813) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |