| NPI | 1821587122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE BAUER President 402-310-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1245) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2019-11-20 |