NPI | 1851939268 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISHA D GENTRY Owner 402-218-7511 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |