| NPI | 1437838950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISA ROWE Owner 308-398-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |