| NPI | 1659736585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LARSEN ASTRONES Mental Health Therapist 308-850-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9960) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |