| NPI | 1396016382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL SOTO Therapist 402-706-5863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3605) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |