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 |