| NPI | 1760914204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M SHERIDAN Thearpist 402-951-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 734) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |