| NPI | 1639950827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA BUTTERY Owner 402-960-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-25 |