| NPI | 1164433389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L FOX Owner/Provider 402-420-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |