| NPI | 1194197053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA PYCHA Hr/Marketing Coordinator 308-395-1046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NE 10669) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |