| NPI | 1649625658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE MINDT LONG President 308-382-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1249, 4370, 2124) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 10782, P-1372) |
| 101YM0800X Counselor Mental Health (Licence: NE 320, 787, 511) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |