| NPI | 1134545122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI L ROSCHE President 402-650-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 24516) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-08-21 |