| NPI | 1457172934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLE TYREE STUART Clinical Mental Health Therapist 402-710-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |