| 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 |