| NPI | 1962919563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J BERGIN Therapist 402-359-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 1686) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |