| NPI | 1932487543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE JANE EASTERLY Sole Member 308-254-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3036) |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2011-07-31 |