| NPI | 1790504553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITHYALAKSHMI SELVARAJ Owner 402-991-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |