| NPI | 1538583216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ANN LARSON Counselor 402-890-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1141) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1980) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |