NPI | 1457396863 |
---|---|
Entity Type | Organization |
Authorized Contact | PRATAP V POTHULOORI President 402-423-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2020-08-22 |