| NPI | 1518504182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE POTHAST President/Director/Shareholder 402-217-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-01-23 |