| NPI | 1619526894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WAYNE JOBMAN Counselor 402-304-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |