| NPI | 1316335433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LYNN KUBE Neurotherapist 402-933-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NE 445) |
| Additional Taxonomies | 261QM0801X (Licence: NE 10428) |
| 261QM0801X (Licence: NE 10408) | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2015-01-23 |