| NPI | 1194274035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS JAMES CRINER Lmhp 402-450-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE LMHP 2345) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |