| NPI | 1073090049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W HARVEY Owner 308-380-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111016) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |