| NPI | 1104760206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KOLLASCH PARKER Owner/Clinic Director 402-915-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-07-20 |