| NPI | 1679230064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN CHAMNESS Owner/President 308-380-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2022-02-25 |