| NPI | 1720769904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY RENEA STROUD Clinician/Owner 402-831-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-10-26 |