| NPI | 1265998603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A MCGILL Counselor 402-850-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |