| NPI | 1790596211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISWARY GANAPATHY DEVENDRA RAJAN Owner/ Mental Health Provider 402-673-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-02-03 |