| NPI | 1235400383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN PUCKETT Lmhp, Cpc 308-728-9979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 2947) |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2012-01-21 |