| NPI | 1144196585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI PETERSON President 402-432-6967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |