| NPI | 1427561299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALIE HOWELLS Lmft 402-750-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 166000970) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2020-01-17 |