| NPI | 1326469933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LYNN MALLETT Owner/Counselor 402-894-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 194) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |