| NPI | 1639161904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWILA L PRESTON Owner 402-494-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NE 531) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 371) |
| 101YP2500X Counselor Professional (Licence: NE 1187) | |
| 101YP2500X Counselor Professional (Licence: NE 1729) | |
| 1041C0700X Social Worker Clinical (Licence: NE 808) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2013-07-30 |