| NPI | 1154836930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ALAN HOLLISTER Licensed Psychologist 402-460-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 943) |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2018-03-17 |