| NPI | 1881082808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA KUBE Neurotherapist 402-933-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NE 1728) |
| Additional Taxonomies | 261QM0801X (Licence: NE 10428) |
| 261QM0801X (Licence: NE 445) | |
| 261QM0801X (Licence: NE 113) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NE 4932) | |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2017-03-14 |