| NPI | 1831465202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORENA NOLAN Therapist/Owner 308-440-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 4044) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NE 1438) |
| 251S00000X Community/Behavioral Health (Licence: NE P-938) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |