| NPI | 1164618666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA CLYNE Owner 402-476-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2025-12-16 |