| NPI | 1336605401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MARIE HICKS Mental Health Therapist 402-853-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2020-06-02 |