| NPI | 1518489111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KATHLEEN BROWN Therapist 531-222-5783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11208) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |