| NPI | 1689034936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIT KARL JOHNSON Counselor/Owner 308-234-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10676) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 921) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |