| NPI | 1033805809 |
|---|---|
| Former Legal Business Name | STACY HARRISON |
| Entity Type | Organization |
| Authorized Contact | STACY L HARRISON Owner 402-957-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |