| NPI | 1386933224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA ANN CHARLTON Mental Health Therapist 308-520-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 702) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 771) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |