| NPI | 1801472030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN-PAUL REILLY WITT Licensed Mental Health Practitioner 402-225-6527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |