| NPI | 1821189358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY J. WEGNER Office Manager 308-234-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-12-05 |