| NPI | 1497325005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYNN RACHEL FREEMAN Manager/Member/Professional Employe 402-401-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2022-08-17 |