| NPI | 1366237901 |
|---|---|
| Doing Business As | SOVEREIGN SELF MENTAL HEALTH AND SELF CARE LOUNGE |
| Doing Business As | SOVEREIGN SELF MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | NINA WILSON Owner 308-778-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-09-16 |