| NPI | 1023873577 |
|---|---|
| Doing Business As | PSYCHNEBRASKA |
| Entity Type | Organization |
| Authorized Contact | PAUL M WILKEN President 531-272-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |