NPI | 1750941746 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXA L THEISEN Owner 402-841-3852 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2019-06-20 |