| NPI | 1801449053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN JOY DOUGHERTY Mental Health Therapist 402-601-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |