| NPI | 1689295560 |
|---|---|
| Former Legal Business Name | MARY KAY WOOD |
| Entity Type | Organization |
| Authorized Contact | MARY KAY WOOD Owner 402-483-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-08-28 |