| NPI | 1801107677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI THOMAS-DAVIS Executive Director 402-690-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 399679) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |