| NPI | 1295574234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY BARRETT Owner 402-310-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |