| NPI | 1740679125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI LEA SLAGLE RADERMACHER Executive Director 402-657-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2875) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |