| NPI | 1730853672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILLON LEIGH SMALL Owner 402-730-8234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YS0200X Counselor School |
| 103T00000X Psychologist | |
| 103TS0200X Psychologist School | |
| 101Y00000X Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |