| NPI | 1477907269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SCHNECKLOTH Billing Specialist 402-504-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1174) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |