| NPI | 1275668535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ELLEN AYERS Executive Director 402-476-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |