| NPI | 1629816806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ISHIMWE CEO 402-580-8361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |