| NPI | 1508265802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CORFIELD Billing Manager 308-534-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 497) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |