| NPI | 1568463958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S. BONACKER Proprieter 402-475-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 271106920) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-01-05 |