| NPI | 1770205858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE FABER Therapist 402-960-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-08-27 |