| NPI | 1023288396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HENRIE CEO 308-237-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NE 80873595) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-04-20 |