NPI | 1407572001 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY BALDASSANO Manager/Owner/Therapist 402-429-3911 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
Enumeration Date | 2022-10-14 |
Last Update Date | 2023-04-25 |