| NPI | 1356607816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY METSCHKE Office Manager 402-646-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 981) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |