| NPI | 1700523164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACU L GEMBERLING Mental Health Counselor 402-598-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |