| NPI | 1861875791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIRA MICHELLE MASEK Therapist 402-660-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 4178) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |