| NPI | 1417504549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAGGETT Owner & Provider 402-289-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-11-01 |