| NPI | 1174033310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J. RYAN President 402-614-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NE 16685) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2018-06-16 |