| NPI | 1568056620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN M WOLFF Owner 402-515-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |