| NPI | 1063278158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHINAYE FINNEY-EL Provider Observation Specialist 402-415-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-27 |