NPI | 1538512876 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY JOHANNA SJOHOLM Owner 402-879-5755 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4454) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2016-07-21 |