| NPI | 1487192878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MARTIN HUTT Owner 308-632-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 4121) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |