| NPI | 1225560782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN CHIBURIS Mental Health Therapist 402-650-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |