| NPI | 1598170185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN VAUGHN Owner/Therapist 402-813-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1318) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 954) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-03-18 |