| NPI | 1023598299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SEWELL Co Owner 402-240-8989 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |