NPI | 1568811388 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL ANDREW HANSEN President 402-580-8641 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 27) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2016-06-13 |