| NPI | 1457592263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GLASSMAN Owner 402-898-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NE 1476) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NE 1476) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-04-16 |