| NPI | 1740655265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORA SIMMERMAN BERRY President 308-345-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 393) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 011) |
| 101YP2500X Counselor, Professional (Licence: NE 284) | |
| 101YP2500X Counselor, Professional (Licence: NE 103) | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |