| NPI | 1003436833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HEASTON Program Director 402-397-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-11-27 |