| NPI | 1821878521 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | KIRK L BROWN Doctor 402-770-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-16 |