| NPI | 1497900658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETROY JONES Mental Health Counselor 402-890-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 8105) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |