| NPI | 1578017620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONIELLE LARSON Executive Director 402-379-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE SATC223) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |