| NPI | 1487198404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L STOLTZ Owner 402-371-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3613, 1809) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |