| NPI | 1124339502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE YOUNG Nurse Practioner 402-474-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 110069) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |