| NPI | 1720783467 |
|---|---|
| Doing Business As | NORTHSIDE BEHAVIORAL HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | COREY GRAY Owner 402-433-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |