| NPI | 1598039778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL P ANZALONE Owner 402-598-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4039) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |