| NPI | 1962932046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA ADRIANA CASTRO Mental Health Therapist 402-516-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NE 10239) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2018-06-16 |