| NPI | 1437279932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACKSON Executive Director 402-494-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NE 7733) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-03-23 |