| NPI | 1568153922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY J HOEGH Licensed Mental Health Practitioner 402-802-6357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-10-10 |