| 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 |