| NPI | 1841157468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKELY ASHTON HECKMAN Therapist, Clinical Supervisor 402-880-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-05-03 |