| NPI | 1619092343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI CHESHIER Administrator 402-721-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2521) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |