NPI | 1568970259 |
---|---|
Entity Type | Organization |
Authorized Contact | MISTY A GASA Owner/Provider 402-515-5281 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-01-16 |
Last Update Date | 2018-01-16 |