| NPI | 1649661521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRIEL CONDE Owner 402-810-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1038) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |