| NPI | 1619409091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARIE BROOKS Owner 402-215-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 4535) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |