| NPI | 1700897915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY FULLERTON Financial Officer 402-345-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 391) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |