| NPI | 1649653718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MARIE JEANNETTE PETERSON Counselor 402-833-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10560) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-07-06 |