| NPI | 1881345908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE D. ECKLAND Registered Agent 308-225-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |