| NPI | 1912323221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SMITH Owner 308-455-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1030) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1048) |
| 101YP2500X Counselor, Professional (Licence: NE 1728) | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2024-12-11 |