| NPI | 1376707794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY K BRADFORD Owner 308-254-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1999) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3260) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |