NPI | 1528656758 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA MARTINEZ Msw 402-913-0068 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-01-04 |
Last Update Date | 2022-07-16 |