| NPI | 1578291092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DUNLAVY Owner 402-543-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |