| NPI | 1568004653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN DEXTER Owner 402-885-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-01-03 |