| NPI | 1659743342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE BUTTS Credentialing 402-504-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4323) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |