| 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 |