| NPI | 1770285785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE STEPHENSON Sole Member 402-304-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-06-12 |