| NPI | 1508318288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA JO HUBBARD Licensed Mental Health Practitioner 402-937-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NE 1964) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |