| NPI | 1790156040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA KAY MONZON Owner 402-489-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE LIMHP 1088; LADC 697) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |