| NPI | 1538983937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CAMMON-LARSON Mental Health Counselor 308-227-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |