| NPI | 1225851678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNIE FAITH BURT Therapist 402-326-8579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-12-13 |