| NPI | 1841575073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MARY LORENSON Co Owner 402-540-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 911) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2013-05-30 |