| NPI | 1578001251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENEE' LEA HILL Counselor 308-520-4528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-10 |