| Organization Name: | VILLAGE THERAPY RESOURCLES LLC |
| NPI Number: | 1619091378 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TEENA IONNE KENDRICK (PRESIDENT) |
| Mailing Address: | 318 Shelton St Chadron |
| State: | NE US |
| Postal Code: | 693372312 |
| Phone Number: | 3084325437 |
| Fax Number: | 3084325437 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 09/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |