| NPI | 1578125043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANN KAY WORLEY Therapist 402-660-6509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |