| NPI | 1851629901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY E BYRNS Owner 402-489-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2340) |
| 101YM0800X Counselor, Mental Health (Licence: NE 746) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 1049) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |