| NPI | 1518478817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS Z MAXSON Owner 308-233-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 667) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2025-07-01 |