| NPI | 1669236055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANEL FUENTES FLORES Practice Director 402-222-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |