| NPI | 1184261661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI RAE PIEPER Billing And Accounts Specialist 308-672-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |