| NPI | 1609749233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA A VAUGHN Owner 402-212-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |