| NPI | 1639256761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE LISBETH JONES Mh/Sa Counselor 308-384-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NE 2388) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |