| NPI | 1063051472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACY KASPERBAUER CEO 402-933-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-04-07 |