NPI | 1841712445 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE E RILEY Owner 308-398-0350 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1784) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1149) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2022-07-21 |