| NPI | 1396209623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIN M BRUMMELS Authorized Agent 402-286-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |