| NPI | 1902574437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA ANN LUNA Mental Health Therapist 402-812-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-01-24 |