| NPI | 1962668491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE I MILES Owner 308-432-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 378) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 412) |
| 106H00000X Marriage & Family Therapist (Licence: NE 38) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |