| NPI | 1982155594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA DANIELLE WILLIAMS Clinical Therapist 308-765-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 624) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 3515) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1063) | |
| 101YP2500X Counselor, Professional (Licence: NE 2050) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-23 |