| NPI | 1609325372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CHARLES WIGINGTON President 402-677-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 29362) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-23 |