| NPI | 1912060476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN FRATES MCMAHON Therapist President 308-289-6519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-07-21 |