| NPI | 1689057119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY L WASHBURN Therapist 308-940-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10020) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |