| NPI | 1649064841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMATT REZA NIAZI Physician, CEO 402-817-5813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |