| NPI | 1891446498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELINA SUZANNA MORENO Owner/Alcohol & Drug Counselor 308-765-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |