| NPI | 1831830157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACE DEVLIN Owner 402-804-8368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2024-04-26 |