| NPI | 1659608446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENTON JEREMEY MUSSMANN Director 402-525-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 529) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |