| NPI | 1538949508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE MIZAUR Owner 402-807-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |