| NPI | 1124546460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE BROWN Lmhp 308-379-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 3241) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2018-03-17 |