| NPI | 1679948335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY R GILFILLAN Counselor 402-601-4289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE SATC024) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2016-04-15 |