| NPI | 1639540065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CHRISTIANSEN Owner 402-650-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1230) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4491) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |