| NPI | 1649691783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GUROCK Director Of Therapy 402-214-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 9923) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |