| NPI | 1942849104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN OTTO-BERGLUND Manager/Clinician 402-640-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-02-24 |