| NPI | 1114177920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M. JONES Licensed Clinical Psychologist 308-532-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 486) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |