| NPI | 1487022083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A. CHARRON Owner, CEO 308-384-7119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE LIMHP # 89) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2015-09-15 |