| NPI | 1841690062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN S HALEY Owner 402-330-1537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1271) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 3656) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |