| NPI | 1366967010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BETKA Owner 308-398-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 231) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-05-17 |