| NPI | 1326462763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MACK Office Manager 308-252-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 110591) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2023-06-15 |