NPI | 1417497355 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN KENNETH SHAW Clinical Social Worker/Owner 402-881-5475 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NE 1142 2826 1275) |
Enumeration Date | 2017-02-26 |
Last Update Date | 2017-02-26 |