| NPI | 1851664288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JEAN PATITZ Proprietor, Therapist, Supervisor 402-519-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 945) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |