| NPI | 1518637743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ROSE LIEBENTRITT Clinical Social Worker 402-413-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-18 |
| Last Update Date | 2021-09-18 |