| NPI | 1285604637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESICA VICKERS President 308-234-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-09-05 |