| NPI | 1871137323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA ANDERSON Vice President/Director Operations 402-960-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |