| NPI | 1124224852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE CHARLES OLIVETO Owner 402-779-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 12437) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-11-06 |