| NPI | 1144892167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH ROBERT FUENNING Mental Health Therapist 402-802-3259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2024-09-16 |