| NPI | 1467294652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI FLETCHER-RODRIQUEZ Owner/Provider 308-763-9261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |