| NPI | 1780009464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS J DAISLEY (SIEMER) Owner 402-500-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3536) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 860) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2015-08-28 |