| NPI | 1043043599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HANNY Owner 402-736-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |