| NPI | 1942820022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MALONE Owner 402-851-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2021-07-30 |