| NPI | 1447765730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAMES BRADLEY Independent Mental Health Counselor 402-706-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NE 1668) |
| Additional Taxonomies | 261QM0801X (Licence: NE P-1668) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2020-09-16 |