| NPI | 1528640323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY RENEE SCHMIDT Clinical Program Director 308-440-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-10-24 |