| NPI | 1912272873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L CHOPLIN Billing Specialist 308-382-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 9086) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2013-08-13 |