| NPI | 1992077598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SCOTT MCDOUGLE Owner 402-813-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2993) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |