| NPI | 1457934820 |
|---|---|
| Doing Business As | COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MILDRED CASSANDRA TUCKER Owner 402-979-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-11-19 |