| NPI | 1699203075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN SCHRAGE Owner 402-416-5037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NE 1266) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |