| NPI | 1457869067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A WOOTEN Mental Health Therapist 402-309-4487 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10823) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-05-29 |