| NPI | 1619068483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PHILLIPS Therapist 402-730-7841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 7975) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |