| NPI | 1205629698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE CECILIA RODRIGUEZ Managing Member 402-403-9617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-06-02 |