| NPI | 1063665685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MAE BOCK C.E.O., Clinician 402-228-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 110019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 110019) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |