| NPI | 1083855316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISMICHELLE ZOLCIK Office Manager 402-202-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 6219A) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2014-07-08 |