| NPI | 1598171340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMANDA LYNN BRUCE Owner/Therapist 402-880-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NE 1460) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 834) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-10-14 |