| NPI | 1699306753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI THOMSEN Mental Health Therapist 402-819-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |