| NPI | 1235916271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL GENE MORELAND Owner, Nurse Practitioner 402-939-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |