| NPI | 1013375955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA CARLSON President 402-875-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111968) |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2025-11-25 |