| NPI | 1609440312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RENEE HAZEL Owner 402-517-5285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |