| NPI | 1700350089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KILEY CALLAWAY Licensed Clinical Pastoral Counselo 308-765-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2019-01-19 |