NPI | 1649161563 |
---|---|
Entity Type | Organization |
Authorized Contact | MELINDA C MCCUISTON Owner/Therapist 308-350-2978 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2025-07-10 |
Last Update Date | 2025-07-10 |