| NPI | 1619091378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEENA IONNE KENDRICK President 308-432-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1587) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-09-04 |