| NPI | 1003498916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DEGNER Therapist 402-670-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |