NPI | 1922532324 |
---|---|
Doing Business As | COLLABORATIVE PSYCH PRACTITIONERS |
Entity Type | Organization |
Authorized Contact | MOLLY PETERSEN Co Owner 402-332-7648 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 111672) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 110773) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |