| NPI | 1821711284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M IWEN Licensed Mental Health Practitioner 402-649-4936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |