| NPI | 1457947004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELICIA CHARLISSE MCGHEE Counsleor/Mental Health 402-915-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2021-06-16 |