| NPI | 1033588215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM LUNDHOLM Owner 402-504-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111311) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |