| NPI | 1508136219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN MILLER Owner 402-463-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1073) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 701) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2015-01-22 |