| NPI | 1225379936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE CRIPPEN Lmhp 402-657-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 1470) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |