| NPI | 1932853181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KATHLEEN BAXTER Owner 402-990-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |