| NPI | 1699414177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BLANKENSHIP Owner 402-302-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-07-10 |