| NPI | 1720527542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA A PASHBY Office Manager 402-261-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 10786) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |