| NPI | 1164702106 |
|---|---|
| Other Name | PRAIRIE OAKS TRAUMA CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ALAN LUIS HENSLEY CEO 402-650-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 1945) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3925) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |