NPI | 1972343184 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA ROBERTS Credentialing 402-552-7459 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-05-28 |
Last Update Date | 2024-05-28 |