| NPI | 1578365938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RIGGINS Owner 402-367-8589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |