| NPI | 1457369431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JO MURPHY Owner 402-670-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2839) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00917) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-01-10 |